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        Fate of pyruvate (summary)
        Energy yield of glycolysis
     –      Anaerobic
     –      Aerobic
        Details of the fates of pyruvate
     –      Reduction of pyruvate to lactate
     –      Oxidative decarboxylation of pyruvate to acetyl CoA
     –      Carboxylation of pyruvate to oxaloacetate
     –      Reduction of pyruvate to ethanol
        Feeder pathways for glycolysis
     –      Fructose
     –      galactose
Fate of Pyruvate
       Lactate dehydrogenase
        – RBC and during exercise
        – Reversible in liver
        – Location: cytoplasm
       Pyruvate dehydrogenase
        –   TPP, LA are cofactors
        –   Source of AcetylCoA
        –   Irreversible reaction
        –   Location: Mitochondria
       Ethanol synthesis
        – In yeast, some bacteria
        – Location cytoplasm
1. Reduction of pyruvate to ethanol (microorganism)

•   It occurs by the 2 reactions shown below:
Pyruvate
decarboxylase
mechanism
• There is no net oxidation-reduction in the
  conversion of Glc into Ethanol.

• NAD+ is used first and made it later!
Active site of
Alcohol
dehydrogenase
   Pyruvate decarboxylase is present in brewer’s and baker’s yeast.
    CO2 produced during alcohol fermentation is responsible for the
    characteristic carbonation of champagne.

   In baking, CO2 fermentation by pyruvate decarboxylase during
    fermentation of dough due to CO2 , dough rises.

   Alcohol dehydrogenase metabolizes alcohol.

   TPP carries “active aldehyde” groups

   The pyruvate decarboxylase reaction is the first reaction we see
    that TPP is involved. TPP  Vit B1. If B1 is not enough
More about TPP
   Beriberi: swelling, pain, paralysis, death
   TPP plays an important role in the cleavage of bonds adjacent to a
    carbonyl group such as the decarboxylation of alpha-ketoacids and
    in chemical rearrangements involving transfer of an activated
    aldehyde group from one C to another.
   The functional part of TPP is the thiazolium ring. The proton at C-2
    of the ring is relatively acidic. Loss of this proton produces an active
    site in TPP.
   TPP is involved in the following reactions
     1.   Pyruvate decarboxylase
     2.   Pyruvate dehydrogenase
     3.   Alpha-ketoglutarate dehyrogenase
     4.   Transketolase
Microbial fermentation yield other end products of commercial value:




       Lactate and ethanol are the common products of
        microbial fermentation
       Not the only ones...
        – In 1910, Chaim Weizmann (first president of Israel)
          discovered a bacterium
        – Clostridium acetobutyricum ferments starch to butanol and
          acetone.
       Here comes industrial fermentation, purpose is to
        make important products from readily available
        material (like starch) by using microorganism.
Oxidation of ethanol in humans



   Alcohol is a significant source of calories in many individuals. The
    metabolism of ethanol yields acetate by means of a pathway of 2
    oxidation reactions.
    1.   Formation of acetaldehyde:
         –   The first oxidation in the metabolism of ethanol occurs in the liver by
             alcohol dehydrogenase.
         –   Some acetaldehyde is formed by a microsomal ethanol oxidizing system
             (MEOS) involving NADPH, O2 and cyt P450.


    2.   Formation of acetate:
         –   Acetaldehyde is further oxidized to acetate by the enzyme aldehyde
             dehydrogenase.
Some information about alcoholism


   90% people drink alcohol.

   40-50% of male  have temporary alcohol-induced problems.

   10% male and 3-5% female  have persistent alcohol related problems
    (alcoholism).

   Ethanol easily moves through cell membranes.

   12 oz beer or 4 oz wine has 10 grams of ethanol

   1 liter of wine  80 g ethanol.
More about alcohol
   It is a CNS depressant, decreases activity of neurons.

   It is absorbed in the mouth, esophagus, stomach, and large bowel with a
    major site of absorption is small intestine.

   The rate of absorption is increased with rapid gastric emptying, absence of
    proteins, fats, or carbohydrates.

   2%-20% of ethanol is excreted directly through the lungs, urine and sweat.

   The rest is metabolized to acetoaldehyde.

   The clinical significance of acetaldehyde is not known, but accumulation in
    liver, brain, or other body tissues may cause organ damage.
2. REDUCTION OF PYRUVATE TO LACTATE:

   Lactate formed by the action of lactate dehydrogenase is the final product of
    anaerobic glycolysis.
   In exercising skeletal muscle, NADH production (by glyceraldehyde3-P and by
    the 3 NAD-linked dehydrogenase reaction of the TCA cycle) exceeds the
    capacity of the respiratory chain, resulting in an increase in NADH/NAD that
    favors reduction of pyruvate to lactate.
   Therefore, during intense exercise, lactate accumulates in the muscle , pH
    decreases  resulting in cramps. Much of the lactate eventually diffuses from
    the muscle into the blood stream.
   The direction of lactate dehydrogenase reaction depends on the relative
    intracellular concentrations of pyruvate and lactate and on the ratio of
    NADH/NAD in the cell.
   When animal tissues can not be supplied with enough oxygen to support aerobic
    oxidation of pyruvate and NADH produced in glycolysis, NAD+ is regenerated
    from NADH by the reduction of pyruvate to lactate.
More about lactate formation
   Certain other tissues and cell types (such as retina, brain, and
    RBCs) produce lactate from pyruvate under aerobic conditions.
   Lactate is the major end-product of glycolysis in RBCs.
    In tissues such as the liver and heart, the ratio of NADH/NAD is
    lower than in exercising muscle. These tissues can oxidize
    lactate to pyruvate.
   The cycle of reactions that includes glucose  lactate in muscle
    and lactate  glucose in liver is called the Cori Cycle for Carl
    and Gerty Cori whose studies in the 1930s and 1940s clarified
    the pathway and its role.
3. The oxidative decarboxylation of pyruvate:




   The oxidative decarboxylation of pyruvate by pyruvate
    dehydrogenase is an important pathway.


   Pyruvate + NAD+ CoA  Acetyl CoA +CO2 + NADH

   This goes to TCA cycle and will be discussed later.
ENERGY YIELD FOR GLYCOLYSIS


 A. ANAEROBIC GLYCOLYSIS:
 Overall reaction:
 Glucose + 2P + 2ADP  2 Lactate + 2ATP + 2H2O
 1. A net of 2 mols of ATP is produced for each molecule of glc.
 2. Anaerobic glycolysis, although releasing only a small fraction of
    the energy contained in the glucose molecule, is a valuable
    source of energy under the following conditions.
    –   When oxygen is decreased such as during intense exercise
    –   In tissues with few mitochondria – the kidney, RBCs, WBCs,
        retina, and brain.
 3. In anaerobic glycolysis there is no net production or consumption
     of NADH. The NADH formed by glyceraldehyde 3-P
     dehydrogenase is used by lactate dehydrogenase to reduce
     pyruvate to lactate. Two trioses are produced for each glucose
     molecule.
ATP consumption and production

Reaction                                             Change in ATP per Glc consumed

1.   Glc-----> Glc-6-P                                         …………..

2.   Fructose-6-P------->F1,6bisP                              ………….

3.   1,3 bisPglycerate--------> 3-Phosphoglycerate             ………….

4.   PEP---------> Pyruvate                                    ………….

                                                     Net:      ………….
Formation and consumption of NADH in anaerobic glycolysis:




Reaction
                                                      change in NADH

1.   Glyceraldehyde 3P-----> 1,3 BisPglyceraldehyde   ……………

2.   Pyruvate---------------> Lactate                 ……………

                                             Net NADH: ……………
Aerobic glycolysis:




Overall reaction:

Glc+ 2P + 2NAD+ + 2ADP  2 Pyruvate + 2ATP + 2NADH + 2H+ + H2O.

1.   The direct formation and consumption of ATP are the same as in
     anaerobic glycolysis, that is a net gain of 2ATP per molecule of
     glucose.

2.   2 mols of NADH are produced per mol glucose. Ongoing aerobic
     glycolysis requires the oxidation of this NADH by the respiratory
     chain.
Formation of ATP in aerobic glycolysis


   Reaction                     Change in ATP/glc cons.

   Glc-------------> Pyruvate

   NADH--------> NAD+

   Net ATP:
Other monosaccarides can enter the glycolytic pathway


Fructose must be phosphorylated to enter glycolysis.

2 enzymes are responsible for this step.

a.     Hexokinase has a low affinity for fructose (high Km). Unless
       fructose levels of the body increases, little fructose is
       converted to fructose-6-P by this enzyme. D-fructose
       (present in fruits) or hydrolysis of sucrose can be
       phosphorylated by hexokinase to F-6-P.
                 Sucrose + H2O  Fructose + Glucose

                   Fructose + ATP  F-6-P + ADP

In muscle and kidney, this is a major pathway.
Second enzyme
b. By fructokinase:

The liver (which processes much of the dietary fructose) and
the kidney have fructokinase which converts fructose to
fructose-1-P. Fructose-1-P yields glyceraldehyde and
DiOHacetoneP by aldolase B enzyme action. Two steps are
bypassed (hexokinase and PFK) and the rate of fructose
metabolism is greater than that of Glc.
Galactose metabolism:
  Dietary source is lactose from milk or milk products.

    Lactose  Glc + Galactose

    Dietary disaccarides are hydrolyzed to monosaccarides
    by enzymes lining the small intestine.
       – Maltose  2D-Glc

       – Lactose  D-Glc + D-Gal

       – Sucrose  > D-Glc + D-Fructose

       – Trehalose  2D-Glc
Galactose metabolism

Gal  Glc-6-P in four steps

  1.   Gal  Glc interconversion pathway
  2.   Gal-1-P then takes uridyl group
  3.   UDP-Gal’s Gal is then epimerized to Glc
  4.   Finally, Glc-1-P isomerized to G-6-P
Many adults are intolerant of
milk due to lactase deficiency
    Lactose intolerance or hypolactasia
    – Deficiency is not quiet the appropriate term
    – Lactase activity declines to 5 to 10% of the level of birth
    – Most Africans and almost all Asians have very low levels!
    – Populations with a tradition of herding cattle (northern
      Europeans) continue to express lactase gene
   Problem is diarrhea.
   Treatment is easy now: Milk products (lactose has
    been hydrolyzed enzymatically) and lactase-
    containing pills are widely available.
Galactose is highly toxic
   Galactosemia: Gal-1-P-uridyl transferase deficiency
    –   Fail to thrive
    –   Vomit
    –   Jaundice
    –   Cirrhosis
    –   Cataracts
   Blood Gal is high.
   The absence of the transferase in RBCs definitive
    diagnosis.
   Why cataracts?
BSO+NACA




 Grade 0
BSO only (grade 3)
Control (Grade 0)
NACA only (Grade 0)
REGULATION OF CARBOHYDRATE CATABOLISM


Carbohydrate catabolism provides:
      ATP
      precursors, building blocks of some other
       biosynthetic processes

ATP level for a cell should be almost constant.
         ATP production  ATP consumption
                      balance

We undergo lots of changes which affect metabolism
such as:
      increased muscular activity
      decreased oxygen availability
      decreased carbohydrate intake
more
Events alter ATP production and utilization. Since
ATP levels should be kept almost constant, we need
to regulate some enzymes in glycolysis pathway.

There are 4 enzymes that play a role in this regulation
(in liver and muscle)
 1.   Glycogen phosphorylase, hormonal, allosteric, Ca++
 2.   Hexokinase
 3.   PFK-1
 4.   PK
Hexokinase


   Muscle hexokinase is inhibited by Glc-6-P.
    Whenever Glc-6-P is increased, this enzyme is
    inhibited.

   Glucokinase is an isozyme of hexokinase (also
    called hexokinase-D)
    – Isozymes are different proteins that catalyze the same
      reaction.
   PFK-1 is under complex allosteric regulation
   MOST IMPORTANT CONTROL POINT


           F-6-P + ATP  F1,6 bisP + ADP


    •   ATP
    •   pH
    •   Citrate (key intermediate of TCA cycle)
    •   Fructose 2,6 bisphosphate
PK
   Increased ATP concentrations inhibit PK allosterically
    by decreasing its affinity to its substrate. PEP

   PK is also inhibited by Acetyl-CoA.

   PEP  Pyruvate  Acetyl-CoA

   Several different forms exist (L and M)
     • F 1,6 bisP activates PK to keep pace with oncoming high flux
       of intermediates.
     • ATP inhibits, enough energy!
     • Alanine also inhibits PK
     • Reversible phosphorylation of the enzyme also controls this
       enzyme’s action.
Family of Glc transporters
   Common structure:
    – 12 transmembrane segments


   The members of this family have some distinctive
    roles:
        •   glut1 and glut3
        •   glut2
        •   glut4
        •   glut5
Cancer and glycolysis

 Tumors have high rate of glc uptake
 and glycolysis
 Why?
 Hypoxic area in tumors
 Consequences of the adaptation
Lec04 pyruvate met
Lec04 pyruvate met
Lec04 pyruvate met
Lec04 pyruvate met

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Lec04 pyruvate met

  • 1. Outline  Fate of pyruvate (summary)  Energy yield of glycolysis – Anaerobic – Aerobic  Details of the fates of pyruvate – Reduction of pyruvate to lactate – Oxidative decarboxylation of pyruvate to acetyl CoA – Carboxylation of pyruvate to oxaloacetate – Reduction of pyruvate to ethanol  Feeder pathways for glycolysis – Fructose – galactose
  • 2. Fate of Pyruvate  Lactate dehydrogenase – RBC and during exercise – Reversible in liver – Location: cytoplasm  Pyruvate dehydrogenase – TPP, LA are cofactors – Source of AcetylCoA – Irreversible reaction – Location: Mitochondria  Ethanol synthesis – In yeast, some bacteria – Location cytoplasm
  • 3.
  • 4. 1. Reduction of pyruvate to ethanol (microorganism) • It occurs by the 2 reactions shown below:
  • 6. • There is no net oxidation-reduction in the conversion of Glc into Ethanol. • NAD+ is used first and made it later!
  • 8. Pyruvate decarboxylase is present in brewer’s and baker’s yeast. CO2 produced during alcohol fermentation is responsible for the characteristic carbonation of champagne.  In baking, CO2 fermentation by pyruvate decarboxylase during fermentation of dough due to CO2 , dough rises.  Alcohol dehydrogenase metabolizes alcohol.  TPP carries “active aldehyde” groups  The pyruvate decarboxylase reaction is the first reaction we see that TPP is involved. TPP  Vit B1. If B1 is not enough
  • 9. More about TPP  Beriberi: swelling, pain, paralysis, death  TPP plays an important role in the cleavage of bonds adjacent to a carbonyl group such as the decarboxylation of alpha-ketoacids and in chemical rearrangements involving transfer of an activated aldehyde group from one C to another.  The functional part of TPP is the thiazolium ring. The proton at C-2 of the ring is relatively acidic. Loss of this proton produces an active site in TPP.  TPP is involved in the following reactions 1. Pyruvate decarboxylase 2. Pyruvate dehydrogenase 3. Alpha-ketoglutarate dehyrogenase 4. Transketolase
  • 10. Microbial fermentation yield other end products of commercial value:  Lactate and ethanol are the common products of microbial fermentation  Not the only ones... – In 1910, Chaim Weizmann (first president of Israel) discovered a bacterium – Clostridium acetobutyricum ferments starch to butanol and acetone.  Here comes industrial fermentation, purpose is to make important products from readily available material (like starch) by using microorganism.
  • 11. Oxidation of ethanol in humans  Alcohol is a significant source of calories in many individuals. The metabolism of ethanol yields acetate by means of a pathway of 2 oxidation reactions. 1. Formation of acetaldehyde: – The first oxidation in the metabolism of ethanol occurs in the liver by alcohol dehydrogenase. – Some acetaldehyde is formed by a microsomal ethanol oxidizing system (MEOS) involving NADPH, O2 and cyt P450. 2. Formation of acetate: – Acetaldehyde is further oxidized to acetate by the enzyme aldehyde dehydrogenase.
  • 12. Some information about alcoholism  90% people drink alcohol.  40-50% of male  have temporary alcohol-induced problems.  10% male and 3-5% female  have persistent alcohol related problems (alcoholism).  Ethanol easily moves through cell membranes.  12 oz beer or 4 oz wine has 10 grams of ethanol  1 liter of wine  80 g ethanol.
  • 13. More about alcohol  It is a CNS depressant, decreases activity of neurons.  It is absorbed in the mouth, esophagus, stomach, and large bowel with a major site of absorption is small intestine.  The rate of absorption is increased with rapid gastric emptying, absence of proteins, fats, or carbohydrates.  2%-20% of ethanol is excreted directly through the lungs, urine and sweat.  The rest is metabolized to acetoaldehyde.  The clinical significance of acetaldehyde is not known, but accumulation in liver, brain, or other body tissues may cause organ damage.
  • 14. 2. REDUCTION OF PYRUVATE TO LACTATE:  Lactate formed by the action of lactate dehydrogenase is the final product of anaerobic glycolysis.  In exercising skeletal muscle, NADH production (by glyceraldehyde3-P and by the 3 NAD-linked dehydrogenase reaction of the TCA cycle) exceeds the capacity of the respiratory chain, resulting in an increase in NADH/NAD that favors reduction of pyruvate to lactate.  Therefore, during intense exercise, lactate accumulates in the muscle , pH decreases  resulting in cramps. Much of the lactate eventually diffuses from the muscle into the blood stream.  The direction of lactate dehydrogenase reaction depends on the relative intracellular concentrations of pyruvate and lactate and on the ratio of NADH/NAD in the cell.  When animal tissues can not be supplied with enough oxygen to support aerobic oxidation of pyruvate and NADH produced in glycolysis, NAD+ is regenerated from NADH by the reduction of pyruvate to lactate.
  • 15.
  • 16. More about lactate formation  Certain other tissues and cell types (such as retina, brain, and RBCs) produce lactate from pyruvate under aerobic conditions.  Lactate is the major end-product of glycolysis in RBCs.  In tissues such as the liver and heart, the ratio of NADH/NAD is lower than in exercising muscle. These tissues can oxidize lactate to pyruvate.  The cycle of reactions that includes glucose  lactate in muscle and lactate  glucose in liver is called the Cori Cycle for Carl and Gerty Cori whose studies in the 1930s and 1940s clarified the pathway and its role.
  • 17. 3. The oxidative decarboxylation of pyruvate:  The oxidative decarboxylation of pyruvate by pyruvate dehydrogenase is an important pathway.  Pyruvate + NAD+ CoA  Acetyl CoA +CO2 + NADH  This goes to TCA cycle and will be discussed later.
  • 18. ENERGY YIELD FOR GLYCOLYSIS A. ANAEROBIC GLYCOLYSIS: Overall reaction: Glucose + 2P + 2ADP  2 Lactate + 2ATP + 2H2O 1. A net of 2 mols of ATP is produced for each molecule of glc. 2. Anaerobic glycolysis, although releasing only a small fraction of the energy contained in the glucose molecule, is a valuable source of energy under the following conditions. – When oxygen is decreased such as during intense exercise – In tissues with few mitochondria – the kidney, RBCs, WBCs, retina, and brain. 3. In anaerobic glycolysis there is no net production or consumption of NADH. The NADH formed by glyceraldehyde 3-P dehydrogenase is used by lactate dehydrogenase to reduce pyruvate to lactate. Two trioses are produced for each glucose molecule.
  • 19. ATP consumption and production Reaction Change in ATP per Glc consumed 1. Glc-----> Glc-6-P ………….. 2. Fructose-6-P------->F1,6bisP …………. 3. 1,3 bisPglycerate--------> 3-Phosphoglycerate …………. 4. PEP---------> Pyruvate …………. Net: ………….
  • 20. Formation and consumption of NADH in anaerobic glycolysis: Reaction change in NADH 1. Glyceraldehyde 3P-----> 1,3 BisPglyceraldehyde …………… 2. Pyruvate---------------> Lactate …………… Net NADH: ……………
  • 21. Aerobic glycolysis: Overall reaction: Glc+ 2P + 2NAD+ + 2ADP  2 Pyruvate + 2ATP + 2NADH + 2H+ + H2O. 1. The direct formation and consumption of ATP are the same as in anaerobic glycolysis, that is a net gain of 2ATP per molecule of glucose. 2. 2 mols of NADH are produced per mol glucose. Ongoing aerobic glycolysis requires the oxidation of this NADH by the respiratory chain.
  • 22. Formation of ATP in aerobic glycolysis  Reaction Change in ATP/glc cons.  Glc-------------> Pyruvate  NADH--------> NAD+  Net ATP:
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. Other monosaccarides can enter the glycolytic pathway Fructose must be phosphorylated to enter glycolysis. 2 enzymes are responsible for this step. a. Hexokinase has a low affinity for fructose (high Km). Unless fructose levels of the body increases, little fructose is converted to fructose-6-P by this enzyme. D-fructose (present in fruits) or hydrolysis of sucrose can be phosphorylated by hexokinase to F-6-P. Sucrose + H2O  Fructose + Glucose Fructose + ATP  F-6-P + ADP In muscle and kidney, this is a major pathway.
  • 31. Second enzyme b. By fructokinase: The liver (which processes much of the dietary fructose) and the kidney have fructokinase which converts fructose to fructose-1-P. Fructose-1-P yields glyceraldehyde and DiOHacetoneP by aldolase B enzyme action. Two steps are bypassed (hexokinase and PFK) and the rate of fructose metabolism is greater than that of Glc.
  • 32.
  • 33. Galactose metabolism: Dietary source is lactose from milk or milk products. Lactose  Glc + Galactose Dietary disaccarides are hydrolyzed to monosaccarides by enzymes lining the small intestine. – Maltose  2D-Glc – Lactose  D-Glc + D-Gal – Sucrose  > D-Glc + D-Fructose – Trehalose  2D-Glc
  • 34.
  • 35. Galactose metabolism Gal  Glc-6-P in four steps 1. Gal  Glc interconversion pathway 2. Gal-1-P then takes uridyl group 3. UDP-Gal’s Gal is then epimerized to Glc 4. Finally, Glc-1-P isomerized to G-6-P
  • 36.
  • 37. Many adults are intolerant of milk due to lactase deficiency Lactose intolerance or hypolactasia – Deficiency is not quiet the appropriate term – Lactase activity declines to 5 to 10% of the level of birth – Most Africans and almost all Asians have very low levels! – Populations with a tradition of herding cattle (northern Europeans) continue to express lactase gene  Problem is diarrhea.  Treatment is easy now: Milk products (lactose has been hydrolyzed enzymatically) and lactase- containing pills are widely available.
  • 38.
  • 39.
  • 40.
  • 41. Galactose is highly toxic  Galactosemia: Gal-1-P-uridyl transferase deficiency – Fail to thrive – Vomit – Jaundice – Cirrhosis – Cataracts  Blood Gal is high.  The absence of the transferase in RBCs definitive diagnosis.  Why cataracts?
  • 42.
  • 43.
  • 48.
  • 49. REGULATION OF CARBOHYDRATE CATABOLISM Carbohydrate catabolism provides:  ATP  precursors, building blocks of some other biosynthetic processes ATP level for a cell should be almost constant. ATP production  ATP consumption balance We undergo lots of changes which affect metabolism such as:  increased muscular activity  decreased oxygen availability  decreased carbohydrate intake
  • 50. more Events alter ATP production and utilization. Since ATP levels should be kept almost constant, we need to regulate some enzymes in glycolysis pathway. There are 4 enzymes that play a role in this regulation (in liver and muscle) 1. Glycogen phosphorylase, hormonal, allosteric, Ca++ 2. Hexokinase 3. PFK-1 4. PK
  • 51. Hexokinase  Muscle hexokinase is inhibited by Glc-6-P. Whenever Glc-6-P is increased, this enzyme is inhibited.  Glucokinase is an isozyme of hexokinase (also called hexokinase-D) – Isozymes are different proteins that catalyze the same reaction.
  • 52. PFK-1 is under complex allosteric regulation  MOST IMPORTANT CONTROL POINT F-6-P + ATP  F1,6 bisP + ADP • ATP • pH • Citrate (key intermediate of TCA cycle) • Fructose 2,6 bisphosphate
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59. PK  Increased ATP concentrations inhibit PK allosterically by decreasing its affinity to its substrate. PEP  PK is also inhibited by Acetyl-CoA.  PEP  Pyruvate  Acetyl-CoA  Several different forms exist (L and M) • F 1,6 bisP activates PK to keep pace with oncoming high flux of intermediates. • ATP inhibits, enough energy! • Alanine also inhibits PK • Reversible phosphorylation of the enzyme also controls this enzyme’s action.
  • 60.
  • 61.
  • 62. Family of Glc transporters  Common structure: – 12 transmembrane segments  The members of this family have some distinctive roles: • glut1 and glut3 • glut2 • glut4 • glut5
  • 63.
  • 64.
  • 65.
  • 66. Cancer and glycolysis Tumors have high rate of glc uptake and glycolysis Why? Hypoxic area in tumors Consequences of the adaptation